Individual provider · Type 1 NPI
Jeran Marie Wilson, PTA
Physical Therapy Assistant · Superior, WI
Practice location
6630 Ogden Ave
Superior, WI 54880-6056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 1169-019 (WI) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1922271949
Jeran Marie Wilson, PTA's National Provider Identifier is 1922271949, issued on Apr 10, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Superior, WI. The record was last updated on Dec 5, 2025.